[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-110-2-精神科與社區衛生護理學-032","nurse-110-2-psychiatric-community-032",110,2,32,"有關臺灣老年精神健康問題與疾病，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"老年精神疾病盛行率低於 1%","常見的老年精神疾病為雙相情感疾患及物質使用障礙症","老年人自殺，通常少有徵兆，難以觀測及預防","老年人會以飲酒與濫用處方藥物，調適其壓力或憂鬱","D",null,[],"本題考點在臺灣老年精神健康問題的流行病學特徵。依老年精神醫學觀察，老年人常以飲酒或濫用處方藥物(如鎮靜安眠藥)作為調適壓力、憂鬱或失眠的方式，故選D正確。A老年精神疾病盛行率並不低，憂鬱與認知障礙症等相當常見，遠高於1%;B老年最常見的精神疾病是憂鬱症與認知障礙症(失智)，而非雙相情感疾患與物質使用障礙;C老年人自殺其實常有可辨識的警訊(如身體疾病、失落、憂鬱、表達無望)，並非難以觀測預防，反而更需警覺，說「少有徵兆、難以預防」錯誤，皆不適當。","老年精神健康重點：憂鬱與認知障礙症盛行率高且常被低估或誤認為「老化正常現象」;老年憂鬱易以身體不適與認知抱怨表現(假性失智)。老年自殺致命性高、常有慢性病與失落等可辨識危險因子，警訊明顯。物質誤用常見於安眠鎮靜藥與酒精。口訣「老年憂鬱最常見、自殺有跡可循」。可連結：老年憂鬱症、假性失智、自殺危險因子、多重用藥。",[24,27,30,32],{"term":25,"count":26},"老年憂鬱症",6,{"term":28,"count":29},"老年精神健康",1,{"term":31,"count":29},"老年自殺",{"term":33,"count":29},"物質誤用",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-psychiatric-community-033","運用簡易心智量表（Mini-Mental State Examination, MMSE）評估老年人精神狀態，下列何者不是其評估的功能表現？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-psychiatric-community-049","有關結核病的敘述，下列何者錯誤？",49,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-psychiatric-community-063","有關 Smilkstein 所提出之 APGAR 家庭功能評估的敘述，下列何者錯誤？",63,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-psychiatric-community-021","邵女士，67 歲，因車禍接受手術，在加護病房第二天出現混亂、慌張、不安、定向障礙之症狀，小夜班時不斷拉鈴要求出去，大夜班時跟護理師反映牆壁上有許多蟑螂。針對此譫妄（delirium）狀態，下列何項護理措施最適宜？",21,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-114-1-psychiatric-community-025","有關解除肢體的約束， 下列何者最不適宜？",25,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-psychiatric-community-019","小新，診斷自閉症類群障礙，從小就喜歡一個人自己玩，不理人，不太喜歡別人碰觸，不看人，有幾次過馬路當媽媽要帶小新快速通過斑馬線時，小新會尖叫，掙開媽媽，如果出門回家走不同路線，小新也會大吵大鬧，去公園遊樂場最喜歡坐在鞦韆上自我旋轉將鞦韆鍊條扭緊再放開。下列敘述何者正確？",19,115,"2026-09-04",1788510730770]